Please print out a copy of this completed form, and send it, enclosing the following:

Copy of my Highest Diver Grade (Required for this course).

Cheque payable to 'BSAC South East Region' if you do not pay via PayPal.

to: BSAC-SE SDCO, 75 Stanhope Road Cippenham Berkshire SL1 6JR

If neither of the above apply, then there is no need to send any paperwork.

Upon completion of this booking, you should receive a confirmation email. If this does not occur
within 24 hours, then you may have entered an incorrect email address and the joining instructions
for the course will not reach you. Please contact the SDCO in this instance.